Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $281.44 / $517.00	Facility		$219.81	$281.44	$517.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $219.82 / $219.82	Professional		$219.82	$219.82	$219.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $206.89 / $206.89	Professional		$206.89	$206.89	$206.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $252.15 / $252.15 / $252.15	Professional		$252.15	$252.15	$252.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $205.88 / $241.37	Facility		$175.00	$205.88	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.68 / $13,785.00 / $13,785.00	Facility		$245.68	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $232.75 / $232.75	Professional		$178.21	$232.75	$232.75
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $237.06 / $264.10	Professional		$215.51	$237.06	$264.10